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体育活动和健康饮食干预对降低老年人中风危险因素的影响。

Effects of a physical activity and healthy eating intervention to reduce stroke risk factors in older adults.

机构信息

Graduate Nursing Department, University of Colorado Colorado Springs, 1420 Austin Bluffs Parkway, Colorado Springs, CO 80918, United States.

出版信息

Prev Med. 2013 Nov;57(5):708-11. doi: 10.1016/j.ypmed.2013.07.004. Epub 2013 Jul 13.

Abstract

OBJECTIVE

To evaluate the effects of a theory-based physical activity and healthy eating intervention aimed at reducing stroke risk factors among overweight/obese and sedentary older adults.

METHODS

Between 12/2009-1/2011, participants (n=69) were randomly assigned to an 8-week group motivational intervention or biweekly newsletters by mail. Physical activity (blinded pedometer, 7-day recall) body composition, theoretical mediator, and dietary (24-hour recall) variables were measured at pre-test and post-test. The physical activity and dietary outcomes are reported.

RESULTS

For outcome measures, the follow-up was 90% for the intervention group (n=29) and 91% for the control group (n=34) for this sample. Statistically significant differences in the 7-day physical activity self-report were noted at post-test in the intervention group. The dietary measures were not statistically significant at post-test; however, the intervention group increased the quantity of vegetable servings.

CONCLUSION

Limited efficacy testing was supported for a combined physical activity-dietary intervention, framed by a wellness-motivation theory, and designed to reduce stroke risk factors in older adults who are sedentary and overweight/obese. Limitations were identified and recommendations for additional research provided.

摘要

目的

评估一项基于理论的体力活动和健康饮食干预措施对超重/肥胖和久坐的老年人群降低中风风险因素的效果。

方法

在 2009 年 12 月至 2011 年 1 月期间,参与者(n=69)被随机分配到 8 周的小组动机干预组或通过邮件接受双周通讯组。在预测试和后测试时测量体力活动(盲法计步器,7 天回忆)、身体成分、理论中介变量和饮食(24 小时回忆)变量。报告体力活动和饮食结果。

结果

对于本样本,干预组(n=29)和对照组(n=34)的随访率分别为 90%和 91%。在干预组后测试时,7 天体力活动自我报告的测量指标有显著差异。饮食测量指标在后测试时无统计学意义;但是,干预组增加了蔬菜的食用量。

结论

在理论基础上,为减少久坐和超重/肥胖的老年人的中风风险因素,制定了结合体力活动和饮食的干预措施,并以健康动机理论为框架,得到了有限的有效性测试支持。本研究还确定了一些局限性,并提出了进一步研究的建议。

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